Sean Gough

Happy National Athletic Trainers' Month 🥳

Let's talk about stretching

#athletictraining #athletictrainer #sportsmedicine #physicaltherapy #rehabilitation #stretching #wisconsin #NATM2025

Excited to present again. Always wanted to help demistify some of the complexities around low back pain. Things I wish I knew when I graduated.

Last presentation of the day, too, so the pressure is on 😄

I didn't really know I could say no. Like the idea was in the back of my head, I just didn't say no

They weren't quite ready to do much field stuff yet, so just sat around until practice was over. A good use of time? What are some things we could improve on? #attwitter #natm2025

Even though they had an EAP, coach was first aid certified, they wanted me physically at practice standing around, waiting. My time would have been better seved doing the long-term rehab (couple minutes drive from athletic training facility to the practice facility).

Two weeks in to National Athletic Trainers Month. This is a great profession that is ripe for positive change and some healthy shakeups. Here's an ex

Was working D3 and I had a long term rehab, but a coach told me I had to be at practice and they could rehab at a different time

Is 9 months the sweet spot for male athletes to return to sport after anterior cruciate ligament reconstruction? Objective Most studies examining the time to return to sport (RTS) after anterior cruciate ligament reconstruction (ACLR) do not account for the athlete’s physical readiness. This study aimed to inves...

New paper out. Those who met the criteria for RTS did not experience more injuries if they returned before 9 months or not. Also those who met the criteria were more likely to return to sport.

Make sure they're ready 🦵🦵🦵

bjsm.bmj.com/content/earl...

Can a "f**king moron" like Trump still be Putin's useful idiot? Jordan Klepper and John Bolton discuss

Here's to 38 🥳

The Effectiveness of Spinal Manipulative Therapy in Treating Spinal Pain Does Not Depend on the Application Procedures: A Systematic Review and Network Meta-analysis - PubMed <span><b>OBJECTIVE:</b> To assess whether spinal manipulative therapy (SMT) application procedures (ie, target, thrust, and region) impacted changes in pain and disability for adults with spine pain. ...

No need to try and be super specific with SMT, not that we can anyway.

No need for a one must-do SMT. Do what you and the patient are comfortable with, explain what is likely/unlikely happening, and if you don't want to do it, don't really have to, either.

pubmed.ncbi.nlm.nih.gov/39869665/

Your athletic trainer would be right. Anterior pelvic tilt isn't bad, or dangerous, or injurious

Joe Rogan’s theory of politics being “I’m just a little podcast man who just asks questions” is starting to ring hollow even for some folks in his audience.

Was just informed my presentation for the annual Wisconsin Athletic Trainers' Association was accepted! Back to back years, yee haw!

This year it'll be on taking some of the complexity out of low back pain.

A fun change of pace from everything shoulder 😄

Yepp

That's a gorgeous shot

Fun stuff. Can't wait to be finished in under a year 😄

This doesn't mean any particular style is worse, as running-related injuries are workload errors rather than movement dysfunction. #athletictraining #athletictrainer #sportsmedicine #physicaltherapy #rehabilitation #running #biomechanics

and is not associated with more injuries, nor is it worse for running economy.

However, their are some injuries that are associated with different running styles (i.e., more calf/achilles/metatarsal injuries with forefoot striking, more knee with heel striking).

If you're a runner, you may have heard the advice to avoid heel striking, and that it's better to forefoot strike, either in terms of running economy and/or injury risk. With the goal of less fearmongering in 2025, let's be clear here. There is no bad way. Heel striking is very common

You'll get stronger (measured by the goal task [i.e., barbell squat]) on the goal task. However when strength is looked at through objective measures there's no difference.

That means you can do whatever you want that fits your goals. It all works.

Free-Weight and Machine-Based Training Are Equally... : Medicine & Science in Sports & Exercise (n = 19) groups. Training variables were identical for both modalities, so they only differed in the use of barbells or machines to execute the full squat, bench press, prone bench pull, and shoulder ...

and journals.lww.com/acsm-msse/fu...

There is a difference in strength when looking at the specific measure. SAID principle.

What's that mean? If you want to get stronger at barbell squatting, then do that. If you want to get stronger on smith machine squats, then do that.

Effect of free-weight vs. machine-based strength training on maximal strength, hypertrophy and jump performance - a systematic review and meta-analysis - PubMed No differences were detected in the direct comparison of strength, jump performance and muscle hypertrophy. Current body of evidence indicates that strength changes are specific to the training modali...

As we get closer to 2025, many new people may be heading to the gym. One question that tends to come up is are machines or free weights better?

For strength, hypertrophy, and counter movement jumps there's no differences. pubmed.ncbi.nlm.nih.gov/37582807

5 more days until New Year's Eve party, gonna start the new year off right 🥳

Merry Christmas Eve to all who celebrate/Happy Holidays

Hope you all are able to rest and relax and enjoy some time with friends, family, loved ones or just some peace and quiet.

Putting stress through the spine is not bad, dangerous, and you will not pay for it later.

Caveat: small sample size.

However there were no differences between groups, and no changes in Pfirrmann grade.

What does that mean? This means that both in an acute bout, or chronically, it does not appear that weightlifting negatively impacts the IVDs, nor does it lead to disc degeneration.

They used MRI in the morning and later in the afternoon after the WL performed exercises (e.g., squat, deadlift, sit-ups, bench press) to assess what the heck happens.

They found differences from morning to night with respect to diurnal changes with largest differences seen in the thoracic spine.

Diurnal T2-changes of the intervertebral discs of the entire spine and the influence of weightlifting - Scientific Reports Scientific Reports - Diurnal T2-changes of the intervertebral discs of the entire spine and the influence of weightlifting

What are the effects of acute and chronic weightlifting with respect to diurnal disc changes and to the spine overall?
nature.com/articles/s41... looked at 2 groups, weightlifting (lift at least 4 times a week for last 5yrs) and non-weightlifting (no more than 2x a week for last 5yrs)

Shoulder impingement! Figured it's been awhile since I made a video on the topic

This whole do you fix it, do you not, does it matter? For degenerative tears probably not, and probably has more to do with expectations or if surgery is pushed. Waiting on the sham trials for traumatic tears to get a more well-rounded picture.

So, takeaways? Shoulder pain (pain) is weird. Group had tried rehab before, they tried it again for 12 weeks and 75% were better initially and didn't need surgery. Even 5 years out there were no differences, and that remained at 10 years (albeit small cohort left).